Styloidogenic jugular venous compression syndrome: a case report and review of the literature

Mooney, James; Lepard, Jacob; Akbari, S. Hassan A.; Johnston, James M.

doi:10.1007/s00381-020-04622-6

Cited by 12 publications

(7 citation statements)

References 15 publications

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“…The IJV J3 segment is most frequently involved 5 31. The jugular venous wall is thinner and lacks smooth muscle and elastic fibres.…”

Section: Discussionmentioning

confidence: 99%

“…Styloidogenic jugular compression is a nosological entity, having a variety of syndromic names, including ‘styloidogenic-cervical spondylotic internal jugular venous compression’, ‘Eagle jugular syndrome’ or ‘styloid-induced IJV stenosis’ 4–6 31. Venous flow impairment due to the styloidogenic compression can result in an imbalance in venous-cerebrospinal fluid and the lymphatic system.…”

Section: Discussionmentioning

confidence: 99%

“…Venous flow impairment due to the styloidogenic compression can result in an imbalance in venous-cerebrospinal fluid and the lymphatic system. The symptomatologies of headache, tinnitus, insomnia and visual impairment are almost pathognomonic 17 29–31 33. These constellations of symptoms are not explained by any other common neurosurgical or ear, nose and throat disorder.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Stylohyoid Eagle syndrome and EXTracranial INternal Carotid arTery pseudoaneurysms (EXTINCT) with internal jugular vein nutcracker syndrome: a challenging clinical scenario

et al. 2022

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We report a 4-year delay in diagnosing a combined carotid arterial and jugular venous styloid compression. The symptoms, which included dull neck pain, dizziness, intermittent diplopia, tinnitus, severe incapacitating right side headache and eye bloating, were challenging and wrongly attributed initially to various facial neuralgias. The patient presented during COVID-19 pandemic and was labelled as ‘carotidynia’ first and later as a transient perivascular inflammation of carotid artery syndrome. Combined targeted duplex ultrasonography and CT angiography with 3D reconstruction revealed a long styloid process and its tendinous-ligamentous attachments, injuring the internal carotid artery. Moreover, there was substantial internal jugular vein compression on a long C1 transverse process with a nutcracker syndrome. Release of the tendinous portion of the long styloid process and repair of the carotid artery pseudoaneurysm ended the patient’s complaints and allowed him to have a better quality of life.

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“…The IJV J3 segment is most frequently involved 5 31. The jugular venous wall is thinner and lacks smooth muscle and elastic fibres.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Stylohyoid Eagle syndrome and EXTracranial INternal Carotid arTery pseudoaneurysms (EXTINCT) with internal jugular vein nutcracker syndrome: a challenging clinical scenario

et al. 2022

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“…Moreover, symptoms can also be caused by an SP of regular length but with an anomalous tip deviation [ 15 ]. Among the various radiological diagnostic criteria described in the literature, most authors define an SP length greater than 2.5 cm as abnormal [ 13 ], while others suggest 4.0 cm [ 16 ]. The average length of the SP found in SJCVS is 3.5–3.7 cm and the distance between the transverse process SP and C1 is 3.9 mm.…”

Section: Discussionmentioning

confidence: 99%

“…SP induces jugular vein compression and causes venous flow congestion, which predisposes to thrombosis [ 15 ]. The J3 segment of jugular vein has been found to be the most frequently involved [ 16 ]. SJVCS has received more attention in recent years and several comorbidities have been found, including intracranial hypertension and a high-pressure gradient due to stenosis [ 17 ], thrombosis of the transverse sigmoid sinus, and perimesencephalic subarachnoid hemorrhage.…”

Section: Introductionmentioning

confidence: 99%

Stylo-Jugular Venous Compression Syndrome: Lessons Based on a Case Report

et al. 2021

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Patient: Female, 28-year-old Final Diagnosis: Nutcracker phenomenon • Wilkie syndrome Symptoms: Epigastric pain • rapid weight loss • abdomen was tense and painful and pain increased after compression Medication: — Clinical Procedure: — Specialty: Radiology Objective: Unusual clinical course Background: Eagle syndrome is a vascular compression syndrome that is caused by a very elongated styloid process and/or calcification of the stylohyoid ligament compressing the vascular or nerve structures of the neck, resulting in vascular congestion, thrombosis, or neurological symptoms (eg, dysphagia, neck pain, ear pain). Stylo-jugular venous compression syndrome is a subtype of Eagle syndrome and is caused by compression of the internal jugular vein. Treatment varies according to the symptoms and the severity of the compression, and it can be pharmacological or surgical, with vascular stenting and/or removal of the styloid process. We describe a rare case of left cerebral venous sinus thrombosis and ipsilateral internal jugular vein stenosis sustained by excessive length of the left styloid process. Case Report: A 36-year-old woman presented with recurrent episodes of drug-resistant headache and recent memory disturbances. She underwent cerebral and neck multidetector computed tomography-angiography and Doppler ultrasound of the epiaortic vessels that respectively revealed thrombosis of the left cerebral venous sinus and left internal jugular vein stenosis due to a very long styloid process. The patient was treated with anticoagulant drugs and experienced a gradual remission of symptoms. Conclusions: Compression of the jugular vein by the styloid process is a rare entity, and it often goes undiagnosed when it is asymptomatic. Doppler ultrasound is a sensitive method for identifying jugular vein stenosis and can provide an estimated degree of stenosis, which is useful for treatment planning. Doppler ultrasound should be combined with multidetector computed tomography-angiography to rule out compression of other vascular structures and other causes of compression. Failure to treat these patients could have serious health consequences for them.

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Extreme lateral infracondylar approach for internal jugular vein compression syndrome: A case series with preliminary clinical outcomes

Yang,

Shah,

Begley

et al. 2023

Acta Neurochir

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Styloidogenic jugular venous compression syndrome: a case report and review of the literature

Cited by 12 publications

References 15 publications

Stylohyoid Eagle syndrome and EXTracranial INternal Carotid arTery pseudoaneurysms (EXTINCT) with internal jugular vein nutcracker syndrome: a challenging clinical scenario

Stylohyoid Eagle syndrome and EXTracranial INternal Carotid arTery pseudoaneurysms (EXTINCT) with internal jugular vein nutcracker syndrome: a challenging clinical scenario

Stylo-Jugular Venous Compression Syndrome: Lessons Based on a Case Report

Extreme lateral infracondylar approach for internal jugular vein compression syndrome: A case series with preliminary clinical outcomes

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